Individual
ALIVIA RENEE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(734) 855-4490
(248) 712-4381
Mailing address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(734) 855-4490
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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